Measuring hand hygiene compliance rates in different special care settings: a comparative study of methodologies.

Autor:	Magnus TP; Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, Brazil., Marra AR; Instituto Israelita de Ensino e Pesquisa Albert Einstein, Av. Albert Einstein, 627/701, 1st floor, Room 108, Bloco A1, Morumbi, Sao Paulo 05651-901, Brazil. Electronic address: alexmarra@einstein.br., Camargo TZ; Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, Brazil., Victor Eda S; Instituto Israelita de Ensino e Pesquisa Albert Einstein, Av. Albert Einstein, 627/701, 1st floor, Room 108, Bloco A1, Morumbi, Sao Paulo 05651-901, Brazil., da Costa LS; Onco-Hematology Unit, Hospital Israelita Albert Einstein, São Paulo, Brazil., Cardoso VJ; Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, Brazil., dos Santos OF; Division of Medical Practice, Hospital Israelita Albert Einstein, São Paulo, Brazil., Edmond MB; Department of Internal Medicine, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA.
Jazyk:	angličtina
Zdroj:	International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases [Int J Infect Dis] 2015 Apr; Vol. 33, pp. 205-8. Date of Electronic Publication: 2015 Feb 23.
DOI:	10.1016/j.ijid.2015.02.016
Abstrakt:	Objectives: The purpose of this study was to compare methods for assessing compliance with hand hygiene in an intensive care unit (ICU), a step-down unit (SDU), and a hematology-oncology unit. Methods: Over a 20-week period, we compared hand hygiene compliance measurements by three different methods: direct observation, electronic handwash counter for alcohol gel, and measuring the volume of product used (alcohol gel) in an ICU, an SDU, and a hematology-oncology unit of a tertiary care, private hospital. Results: By direct observation we evaluated 1078 opportunities in the ICU, 1075 in the SDU, and 517 in the hematology-oncology unit, with compliance rates of 70.7%, 75.4%, and 73.3%, respectively. A total of 342,299, 235,914, and 248,698 hand hygiene episodes were recorded by the electronic devices in the ICU, SDU, and hematology-oncology unit, respectively. There were also 127.2 ml, 85.3 ml, and 67.6 ml of alcohol gel used per patient-day in these units. We could find no correlation between the three methods. Conclusions: Hand hygiene compliance was reasonably high in these units, as measured by direct observation. However, a lack of correlation with results obtained by other methodologies brings into question the validity of direct observation results, and suggests that periodic audits using other methods may be needed. (Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze:	MEDLINE
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